dostęp otwarty

Tom 22, Nr 1-2 (2020)
Praca badawcza (oryginalna)
Opublikowany online: 2022-01-18
Pobierz cytowanie

Effectiveness and safety of sleeve gastrectomy and adjustable gastric banding in morbidly obese patients single centre study

Robert Zurawel1, Marek Gluck2, Jerzy Piecuch2, Alicja Nowowiejska-Wiewiora3, Jacek Niedziela3, Maciej Wiewiora24
·
Chirurgia Polska 2020;22(1-2):14-19.
Afiliacje
  1. Department of General and Vascular Surgery, University Hospital in Opole
  2. Department of General and Bariatric Surgery and Emergency Medicine in Zabrze, the Medical University of Silesia in Katowice, Poland
  3. 3rd Department of Cardiology, Silesian Centre for Heart Diseases, Zabrze, Poland
  4. Department of Cardiac, Vascular and Endovascular Surgery and Transplantology, the Medical University of Silesia in Katowice, School of Medicine with the Division of Dentistry in Zabrze, Silesian Centre for Heart Diseases, Zabrze, Poland

dostęp otwarty

Tom 22, Nr 1-2 (2020)
Prace oryginalne
Opublikowany online: 2022-01-18

Streszczenie

Introduction: This retrospective study aimed to compare short- and long-term outcomes between laparoscopic
sleeve gastrectomy (SG) and laparoscopic adjustable gastric banding (LAGB).

Material and methods: This retrospective one-centre study included patients who underwent bariatric
surgery in the form of LAGB and SG.

Results: %BMIL was significantly higher in the SG group than in the LAGB group during postoperative
follow-up months (p < 0.001). LAGB patients had a lower %EWL compared to SG at each postoperative
follow-up month (p < 0.05). After LAGB, 25.0% patients had %EW ≥ 50%; in the LSG group, 44.8% patients achieved %EWL ≥ 50% (p < 0.0001). The LAGB group’s %EWL ≥ 50 was dependent on BMI before operation (p = 0.049). There are no postoperative complications after LAGB. A total of 221 patients in the SG group 6 (2.7%) had postoperative surgical complications within 30 days after surgery. Postoperative complications in the long term were significantly higher for LAGB than for LSG (p = 0.0062). Reoperation was performed in 16 (7%) patients after LAGB compared to 2 (0.9%) patients after LSG.

Conclusions: LSG is a more effective procedure than LAGB, contributing to greater improvement of weight
loss. LAGB is associated with lower surgery-related complications in the early postoperative period,
but long-term outcomes contributing to a higher late complication rate led to a higher reoperation rate
than SG procedure.

Streszczenie

Introduction: This retrospective study aimed to compare short- and long-term outcomes between laparoscopic
sleeve gastrectomy (SG) and laparoscopic adjustable gastric banding (LAGB).

Material and methods: This retrospective one-centre study included patients who underwent bariatric
surgery in the form of LAGB and SG.

Results: %BMIL was significantly higher in the SG group than in the LAGB group during postoperative
follow-up months (p < 0.001). LAGB patients had a lower %EWL compared to SG at each postoperative
follow-up month (p < 0.05). After LAGB, 25.0% patients had %EW ≥ 50%; in the LSG group, 44.8% patients achieved %EWL ≥ 50% (p < 0.0001). The LAGB group’s %EWL ≥ 50 was dependent on BMI before operation (p = 0.049). There are no postoperative complications after LAGB. A total of 221 patients in the SG group 6 (2.7%) had postoperative surgical complications within 30 days after surgery. Postoperative complications in the long term were significantly higher for LAGB than for LSG (p = 0.0062). Reoperation was performed in 16 (7%) patients after LAGB compared to 2 (0.9%) patients after LSG.

Conclusions: LSG is a more effective procedure than LAGB, contributing to greater improvement of weight
loss. LAGB is associated with lower surgery-related complications in the early postoperative period,
but long-term outcomes contributing to a higher late complication rate led to a higher reoperation rate
than SG procedure.

Pobierz cytowanie

Słowa kluczowe

sleeve gastrectomy; adjustable gastric banding; obesity

Informacje o artykule
Tytuł

Effectiveness and safety of sleeve gastrectomy and adjustable gastric banding in morbidly obese patients single centre study

Czasopismo

Chirurgia Polska

Numer

Tom 22, Nr 1-2 (2020)

Typ artykułu

Praca badawcza (oryginalna)

Strony

14-19

Opublikowany online

2022-01-18

Wyświetlenia strony

5344

Wyświetlenia/pobrania artykułu

217

DOI

10.5603/ChP.2020.0003

Rekord bibliograficzny

Chirurgia Polska 2020;22(1-2):14-19.

Słowa kluczowe

sleeve gastrectomy
adjustable gastric banding
obesity

Autorzy

Robert Zurawel
Marek Gluck
Jerzy Piecuch
Alicja Nowowiejska-Wiewiora
Jacek Niedziela
Maciej Wiewiora

Referencje (28)
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